No one likes to discuss their economic problems. Most of us prefer to show that we have a tough exterior when hard times hit. But keeping our financial worries and anxiety balled up inside can lead to greater emotional problems. Prolonged stress and anxiety caused by economic difficulty can pose a serious risk to anyone's mental health.

The economic uncertainty many rural families and small business owners are facing has lead to a need for mental health support in rural and agricultural communities. Below are some tips for identifying emotional needs and support resources. Knowing when and where to seek help can prevent needless suffering for you and your loved ones.

How do I know when to seek support?

With early detection, intervention, and support, most people can better cope with stress and anxiety problems caused by financial difficulties. Only a trained professional can diagnose mental health disorders, but care providers suggest seeking help when five or more of the following are present for more than two weeks.

Persistent sad, anxious, or “empty” mood

Sleeping too little, early morning awakening, or sleeping much more than usual

Changes in appetite

Weight gain/loss

Loss of interest in once enjoyable activities including sex

Restlessness, irritability

Persistent physical symptoms including headaches or digestive problems that do not respond to treatment

Difficulty concentrating, remembering, or making decisions

Fatigue or loss of energy

Feelings of guilt, hopelessness, or worthlessness

Thoughts of suicide or death

Severe stress and anxiety can be related to more serious, yet common, problems such as depression. Only a trained health care provider or counselor can diagnose depression, so seek professional assistance if you suspect you or a loved one has depression. If you think your situation is even more serious, please seek immediate assistance. It is important for a person struggling financially to recognize these warning signs, obtain a proper diagnosis, receive professional help and request support from their loved ones.

Warning signs indicating despair, hopelessness, and tragic outcomes

Statements similar to “You would be better off without me,” or “I want you to have my prized possessions now because I may not be around much longer,” are expressions of hopelessness that should not be treated lightly. Personality changes, risk-taking behaviors, and a lack of interest in future planning are also symptoms that signal a need for intervention and support.

If you think someone is hopeless and considering harming themselves

Trust your instincts if you think someone is desperate or suicidal

Compassionately discuss your concerns with the person

Listen empathetically and avoid being judgmental

Get professional help, even if the person resists

Resources in your community

National Hotline 1-800-273-Talk (8255)

Virginia 2-1-1 provides access to social services in your community and statewide. Dial 211 or visit www.211virginia.org

Financial resources in your community

Virginia Cooperative Extension. Family and consumer science, and farm business management agents can assist with financial planning. For information about local VCE offices in your area go to http://ext.vt.edu/offices/index.html.

Virginia Small Business Development Centers assist with business planning, marketing, financial analysis, access to capital, business start-up and other specialized services. Find a center near you at www.virginiasbdc.org.

Virginia Cooperative Extension materials are available for public use, reprint, or citation without further permission, provided the use includes credit to the author and to Virginia Cooperative Extension, Virginia Tech, and Virginia State University.